| Gina Deeb D.d.s., A Professional Dental Corporation | |
|
12660 Riverside Dr Suite 240 Valley Village CA 91607-3429 | |
| (818) 760-8966 | |
| Not Available |
| Full Name | Gina Deeb D.d.s., A Professional Dental Corporation |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 12660 Riverside Dr, Valley Village, California |
| Authorized Official Name and Position | Gina Deeb (PRESIDENT) |
| Authorized Official Contact | 2135987000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Deeb D.d.s., A Professional Dental Corporation 4570 Charmion Ln Encino CA 91316-3958 Ph: (213) 598-7000 | Gina Deeb D.d.s., A Professional Dental Corporation 12660 Riverside Dr Suite 240 Valley Village CA 91607-3429 Ph: (818) 760-8966 |
| NPI Number | 1750549291 |
|---|---|
| Provider Enumeration Date | 05/31/2008 |
| Last Update Date | 05/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750549291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 38984 (California) | Primary |
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